Rite Aid of Virginia Inc

Primary specialty

Community/Retail PharmacyTaxonomy code 3336C0003X

License

0201002780 Issued in VA

Legal business name

RITE AID OF VIRGINIA INC

Doing business as

Rite Aid Pharmacy 02421

Practice address

5601 Richmond Road
Suite B
Williamsburg, VA 23188-1995

Phone

(757) 565-6407

NPI assigned

Aug 30, 2006

Last updated

Apr 4, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jennifer ZorekNPI 1205649464

Title

Director

Phone

(717) 975-5937

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• RITE AID PHARMACY 02421 Doing business as

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jennifer M Zorek

  • Pharmacy Technician
  • Etters, PA
  • NPI 1205649464
  Authorized official Same address or phone
• Ashish Aggarwal, RPH

  • Pharmacist
  • Williamsburg, VA
  • NPI 1144529140
  NPD (past)
• Andrea Jean Carolan, PHARMD

  • Pharmacist
  • Williamsburg, VA
  • NPI 1497034979
  NPD (past)
• Mohan Srikanth Chitta, PH.D

  • Pharmacist
  • Williamsburg, VA
  • NPI 1114179579
  NPD (past)
• Ellen Lerose, PHARM.D.

  • Pharmacist
  • Williamsburg, VA
  • NPI 1750837001
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680566400000",
    "number": "1508975806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 NEWBERRY COMMONS",
            "city": "ETTERS",
            "state": "PA",
            "postal_code": "173199363",
            "telephone_number": "717-761-2633",
            "fax_number": "717-975-8659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5601 RICHMOND ROAD",
            "address_2": "SUITE B",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231881995",
            "telephone_number": "757-565-6407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RITE AID OF VIRGINIA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2023-04-04",
        "certification_date": "2023-04-04",
        "status": "A",
        "authorized_official_last_name": "ZOREK",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "717-975-5937"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "VA",
            "license": "0201002780",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008530378",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "4824860",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RITE AID PHARMACY 02421",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "RITE AID PHARMACY 02421",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Darya L Richardson, DPT
• Stacey Richman, NP
• Heidi Rae Ringgold, LPTA
• Kristin Ritchey
• Sylvia S Ritchie, LCSW-E
• River Crossing Recovery Center LLC (River Crossing Counseling)
• Kimberly Rivera, BCBA
• Riverside Hospital, Inc (Riverside Cancer Infusion Center-Williamsburg)
• Riverside Physician Services Inc (Riverside Lifelong Health Specialists Williamburg)
• Riverside Physician Services Inc (Riverside Internal Medicine Williamsburg)

• Community/Retail Pharmacy in Williamsburg, VA
• Providers in Williamsburg, VA by specialty
• Community/Retail Pharmacy in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.